Meralda Rossy Syahdinda
Department Of Orthodontic, Faculty Of Dentistry, Universitas Hang Tuah

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Management of impacted maxillary canine with surgical exposure and alignment by orthodontic treatment Meralda Rossy Syahdinda; Alexander Patera Nugraha; Ari Triwardhani; Tengku Natasha Eleena binti Tengku Ahmad Noor
Dental Journal Vol. 55 No. 4 (2022): December 2022
Publisher : Faculty of Dental Medicine, Universitas Airlangga https://fkg.unair.ac.id/en

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.20473/j.djmkg.v55.i4.p235-239

Abstract

Background: Maxillary canines play a critical point in creating an aesthetic smile as they support the part of facial muscle. Canines are also the second most frequently impacted teeth after the third molars. In some cases, it is possible to retract canines into their correct position by orthodontics treatment. Purpose: This article highlighted a treatment option with surgical exposure, in which a maxillary canine was impacted. It presented gradual steps from pre-surgical to post-surgical orthodontic treatment. Case: A 16 years old female patient referred to Orthodontic Department by Oral Surgeon for pre-surgical orthodontic treatment of her impacted maxillary canine. Case Management: After pre-surgical orthodontic treatment, the impacted canine was surgically exposed by closed technique since open surgical exposure might need excessive removal of the surrounding bone. Traction was given through a gold chain which attached to the palatal surface of the impacted canine. The tooth was ideally positioned with fixed orthodontic appliances. The permanent right maxillary canine was successfully positioned into proper alignment with the remaining teeth. Aesthetic smile was improved. Conclusion: Malocclusion with impacted canine was successfully treated with MBT orthodontic prescription combined with gold chain that can retract the impacted canine into its physiological position and the patient was satisfied with the aesthetic result.
Management of Angle Class I malocclusion with crowding and anterior crossbite by unilateral premolars extraction: Penanganan maloklusi Angle Class I disertai crowded dan anterior crossbite dengan ekstraksipremolar unilateral Putri Intan Sitasari; Meralda Rossy Syahdinda; Ari Triwardhani
Makassar Dental Journal Vol. 12 No. 2 (2023): Volume 12 Issue 2 Agustus 2023
Publisher : Makassar Dental Journal PDGI Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35856/mdj.v12i2.763

Abstract

Crowdedteethhave a major negative influence on the dentomaxillary system. In addition toaesthetic concerns, which arethe main motivating factor for requesting dentaltreatment,there areother functionalconsequences that canbe factors favoringthe onset anddevelopment ofperiodontaldisease.This articlereportsthe treatmentofsevere crowding anddeepbite withpremolar extraction.A 20-year-old female presented withsevere crowding of the upper and lower anterior teeth. Thepatient complain- edabout facialaesthetics and convexprofile, andhadboth lower first molars extracted about 2 years ago. There was agenitionof the right upper first premolar,deep bite and anterior crossbite. Clinicalexamination showed a Class I relationship forthe teeth and cephalometric measurementsshowed a Class IIskeletal tendency.The left upper first premolar was extracted for anterior crowding correction andoverbitecorrection. Thespace ofthe missing lower first molar was used for correction oflower crowd- ing.A two-step extraction technique was used to correct the patient's verticalplaneandprofile. It is concludedthat upper first premolar extraction is one of the options in the treatment of crowding. Unilateral extraction treatment can be performed to achieve an aesthetically pleasing and functionally stable occlusion.